Pregnancy allergic rhinitis

Intranasal corticosteroids are the most effective treatment for allergic rhinitis during pregnancy. Beclomethasone and budesonide have been used most. Nasal cromolyn and first-generation antihistamines (chlorpheniramine, tripelennamine, and hydroxyzine) are also considered first-line therapy. Loratadine and cetirizine have not been as extensively studied. 

Mazzotta P, Loebstein R, Koren G Treating allergic rhinitis in pregnancy. Safety considerations. Drug Saf 1999 20 361-375. 

A critical review of dmg therapy for allergic rhinitis during pregnancy has been pnblished (12). Mast cell stabilizers are not teratogenic and can be considered as excellent first-line choices to treat allergic conjnnctivitis and rhinitis. However, any recommendation shonld be accompanied by informed consent. 

Ephedrine HCl (alphap betap betaj) PO 25-50 mg tid/qid SC/IM 25-50 mg IV 10-25 mg PRN maximum dose 150 mg/24 hr effective for relief of hay fever, sinusitis, and allergic rhinitis may be used for treating mild cases of asthma Pregnancy category C PB UK half life 3-6 hours. 

Erkkola, M., Kaila, M., Nwaru, B. 1. et al. 2009. Maternal vitamin D intake during pregnancy is inversely associated with asthma and allergic rhinitis in 5-year-old children. Clin Exp Allergy 39 875-82. 

In the differential diagnosis of allergic rhinitis, one should include the following rhinitides vasomotor rhinitis, nonallergic rhinitis with eosinophilia syndrome (NARES) (49), atrophic rhinitis (52), occupational rhinitis, medication-induced rhinitis (especially rhinitis medicamentosa due to the overuse of topical sympa-thomimetics), hormonal rhinitis (pregnancy and hypothyroidism), infectious rhi-... 

S Allergic reactions hay fever, rhinitis, urticaria 7 Motion sickness, vertigo I N and V of pregnancy / Preoperative sedation... 

Antihistaminics are widely used in the palliative treatment in allergic conditions like hay fever, urticaria, some forms of pruritus, rhinitis, conjunctivitis, nasal discharge, mild asthma etc. A few antihistaminics possess potent antiemetic action and hence are frequently employed in the prevention and treatment of irradiation sickness, motion sickness (air, sea, road), nausea in pregnancy and postoperative vomiting. 

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